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General NPI Number Information
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NPI Number | 1770848723
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Entity Type | Organization
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Legal Business Name | EASTER SEALS NEW JERSEY
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 241 FORSGATE DR
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City | JAMESBURG
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State | NJ
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Zip | 08831-1385
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Country | US
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Telephone | 732-257-6662
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Fax | 732-257-7373
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Provider Business Mailing Address
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Address Line | 241 FORSGATE DR
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City | JAMESBURG
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State | NJ
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Zip | 08831-1385
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Country | US
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Telephone | 732-257-6662
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Fax | 732-257-7373
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. ALEISHA S HART
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Credential |
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Telephone | 732-257-6662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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